Organization Active NPI

Wink Optical and Eye Care PLLC

  • Optometrist
  • Leander, TX
National Provider Identifier
1346985934
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WINK OPTICAL AND EYE CARE PLLC
Practice address
3651 Highway 183 Ste 190
Leander, TX 78641-8943
Phone
(512) 843-3396
NPI assigned
Apr 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Riddhi Gohel, ODNPI 1346722246
Title
Ceo
Phone
(806) 223-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3651 Highway 183 Ste 190
Leander, TX 78641-8943

Mailing address

5337 Ponte Tresa Dr
Bee Caves, TX 78738-4170
Phone (512) 843-3396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231130001250 TX Part B Supplier - Clinic/Group Practice 8123476231 Receives reassigned benefits from 1 practitioner
Practice locations: Leander, TX

National Provider Directory

National Provider Directory

Locations

3651 Highway 183
Ste 190
Leander, TX 78641
Phone (512) 547-8493

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1346985934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 PONTE TRESA DR",
            "city": "BEE CAVES",
            "state": "TX",
            "postal_code": "787384170",
            "telephone_number": "512-843-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 HIGHWAY 183 STE 190",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786418943",
            "telephone_number": "512-843-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINK OPTICAL AND EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "GOHEL",
        "authorized_official_first_name": "RIDDHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-223-8181",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.